腔内激光治疗下肢静脉曲张并发症探讨  

Complications of varicose veins of lower limbs after endovenous laser treatment

作　　者：李华刚[1] 张雨[1] 马卉[1] 易维真[1] 

机构地区：[1]安徽中医学院第一附属医院血管乳腺外科,安徽合肥230032

出　　处：《安徽医药》2013年第5期789-790,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨经皮静脉腔内激光闭合术(endovenous laser treatment,EVLT)治疗下肢静脉曲张的手术并发症及防治方法。方法 265例共327条肢体腔内激光联合多种其他术式个体化治疗,术后对患者进行观察,分析其并发症。结果皮下淤斑180例(55%)、皮下可及条索状硬结58例(17.7%)、皮肤烧灼伤31例(9.5%)、曲张静脉残留23例(7.0%)、足踝部痛感19例(5.8%)、隐神经损伤16例(4.9%)、腹股沟切口淋巴漏1例(0.3%),经过相应处理后均得到缓解。结论腔内激光治疗是一种安全、有效、微创的术式,并发症少、轻,注意规范化操作可有效减少并发症的发生。Objective To investigate varicose veins surgery complications and prevention after treatment of endovenous laser surgery （endovenous laser treatment EVLT）. Methods 265 cases（327 limbs）underwent EVLT combined with a variety of other surgical modality individualized treatment. The patients were observed and complications were analyzed. Results There were 180 cases of subcutaneous ecchymosis（55% ） ,58 cases subcutaneous availability of cord-hke induration（ 17.7% ） ,31 cases of skin burns（9.5% ） ,23 cases of varicose vein residues（7.0% ）,19 cases of ankle and foot pain（5.8% ）,16 cases of saphenous nerve injury（4.9% ）,1 case of groin incision lymphatic leakage（0.3% ）. After appropriate treatment all cases had been alleviated. Conclusion EVLT is a safe,effective,minimally invasive surgical procedures with fewer complications. Standardization of operation can effectively reduce the incidence of complications.

关 键 词：静脉腔内激光 下肢 静脉曲张 手术后并发症 

分 类 号：R654.3[医药卫生—外科学]